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Organization
INTERNATIONAL HEALTHCARE ASSOCIATES
Active
Organization
INTERNATIONAL HEALTHCARE ASSOCIATES
Active
Other names
International HealthCare Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA RENNE RIDDICK NURSE (ADMINISTRATOR)
(757) 506-4538
Entity
Organization
Contact information
Practice address
1419 SIERRA DR, SUFFOLK, VA 23434-2847
(757) 506-4538
Mailing address
1419 SIERRA DR, SUFFOLK, VA 23434-2847
(757) 506-4538
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
00-0000000
VA
251E00000X
Home Health Agency
Primary
00-0000000
VA
251J00000X
Nursing Care Agency
00-0000000
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00-0000000
—
VA
Enumeration date
08/27/2010
Last updated
08/27/2010
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